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Individual

MRS. JUANITA BECKWITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
165 DOVE DRAKE DR, RICHMOND HILL, GA 31324
(912) 435-6820
Mailing address
165 DOVE DRAKE DR, RICHMOND HILL, GA 31324-4681

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN078431
GA

Other

Enumeration date
09/11/2014
Last updated
09/11/2014
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